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Gramin Dak
Sevak
Engagement
Candidate Application Form

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Application
Personal Details

Registration
CR33616BAD227D
Number

Father/Husband RABINARAYAN
Name UDITNARAYAN SITHA
Name SITHA

email ID Uditnarayansitha246@gmail.com Mobile 7683983096

Category: SC Date of Birth : 14/01/2001

Present
Student Aadhar Number 775805366736
Occupation
Can You Whether
ride a Yes Employer NOC No
bicycle is available
PH :

Address Details
Present Address Permanent Address
00 00
Door No. Door No.
At Talabijipur At Talabijipur
House/Apartment House/Apartment
PO Jamudoli PO Jamudoli
Street Talabijipur Street Talabijipur
City Angul City Angul

Pincode 759125 Pincode 759125

Marks
Board of
Secondary
Education
State of Passing 10thclass Odisha Board
2009
Onwards,
Odisha

10thclass
Result Type Marks Certificate 181AE057

No.

Compartmental/Supplementary/Trail No

First Language - Oriya 67

Second Language - English 64

Mathematics 86

Science 59

Social Science 76

Third Language - Sanskrit 76

Documents Uploaded:
10thclass Supplementary-I Supplementary- Computer
Caste
Certificate Certificate
Marks Memo II Marks Memo Certificate
Udit Udit Sitha
- - -
Sitha_Matric.jpg Caste.jpg

I hereby declare that the information furnished above is true and correct to the
best of my knowledge and that if the information proved to be false at a later
date, I am liable for such action that may be taken by the department
I have studied and understood the notification and found myself eligible for
applying to this post. This is not a duplicate Registration. If found duplicate
my entire candidature will be cancelled
I hereby undertake to declare that I will reside in the Branch Post Office village
within one month from selection but before engagement as Gramin Dak Sevak
Branch, Postmaster in the event of selection to the post.
I hereby undertake to declare that I have other sources of income besides the
allowances to be paid by the Government for adequate means of livelihood for
myself and my family, in the event of my engagement to the post of Gramin
Dak Sevak Branch Postmaster. self and my family, in the event of my
engagement to the post of Gramin Dak Sevak Branch Postmaster.
I hereby undertake to declare that my candidature will be cancelled If I failed
to produce computer certificate at the time of appointment, if i got selected.
I have passed all the subjects in the qualifying exam and uploaded the copy of
original certificates.
I have submitted genuine certificates only and I know my candidature will be
disqualified in case the certificate found fake/ingenuine at any later point of
time.

Date: 10/04/2019

Annexure for Preferences:


S.No Preference Circle Post Name
Jagannathpur B.O-SC-GDS ABPM/ Dak Sevak-
1 1 Odisha
10000-24470
Kudugaon B.O-SC-GDS ABPM/ Dak Sevak-10000-
2 2 Odisha
24470
Tikarapada B.O-SC-GDS ABPM/ Dak Sevak-10000-
3 3 Odisha
24470
4 4 Odisha Samal B.O-SC-GDS ABPM/ Dak Sevak-10000-24470
5 5 Odisha Jiral B.O-SC-GDS ABPM/ Dak Sevak-10000-24470

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